Prognostic factors associated with femoral head and neck excision outcomes in 108 dogs. A retrospective study
Περίληψη
Femoral head and neck excision (FHNE) is a simple and non-reversible surgical procedure in which the entire femoral head and part of the femoral neck are removed obliquely. This allows the formation of a functional pseudarthrosis providing pain relief for dogs suffering from severe hip-joint disease. However, the factors affecting surgery’s outcome are controversial.
This study included 108 client-owned dogs. Every dog underwent a physical, orthopaedic, and radiological examination. Postoperatively, each dog owner answered a dog-mobility questionnaire. The association between quantitative variables and parameters was examined by statistical analysis.
The results show that the final weight-bearing time of the limb is negatively affected by the chronicity of the disease, while age and body weight do not affect it. No positive correlation was found in regard to the limitation of activity, administration of analgesia, and performance of physical therapy.
A dog’s age and body weight, postoperative activity restriction, physical therapy, and the administration of analgesics do not affect the outcome of FHNE. The disease’s chronicity and, consequently, muscle atrophy negatively affect the progress after surgery.
Λεπτομέρειες άρθρου
- Πώς να δημιουργήσετε Αναφορές
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Krystalli, A., Sideri, A., Kazakos, G., Papaefthymiou, S., Savvas, I., Anatolitou, A., & Prassinos, N. (2025). Prognostic factors associated with femoral head and neck excision outcomes in 108 dogs. A retrospective study. Περιοδικό της Ελληνικής Κτηνιατρικής Εταιρείας, 76(3), 9851–9862. https://doi.org/10.12681/jhvms.40194
- Τεύχος
- Τόμ. 76 Αρ. 3 (2025)
- Ενότητα
- Case Report
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Λήψεις
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Αναφορές
Anderson A (2011) Treatment of hip dysplasia. J Small Anim Pract
(4): 182–189.
Berzon JL, Howard PE, Covell E, Trotter J, Dueland R (1980) A retrospective
study of the efficacy of femoral head and neck excisions
in 94 dogs and cats. Vet Surg 9(3): 88-92.
Bjorling DE, Chambers JN (1986) The biceps femoris flap and femoral
head and neck excision in dogs. Compend Contin Educ Pract Vet
: 359–363.
Bonneau NΗ, Breton L (1981) Excision arthroplasty of the femoral
head. Can Pract 8(2): 13-25.
Colvero A, Schwab Μ, Ferrarin Μ, Ripplinger A, Herculano L, Wrzesinski
M, Rauber J, Mazzanti A (2020) Physical therapy treatment
in the functional recovery of dogs submitted to head and femoral
neck ostectomy: 20 cases. Cienc Rural 50 (11): 1-8. https://doi.
org/10.1590/0103-8478cr20190545
DeCamp CE, Johnston SA, Dejardin LM, Schaefer SL (2016) The hip
joint. In: Brinker, Piermattei, and Flo’s Handbook of Small Animal
Orthopedics and Fracture Repair. 5th ed, Elsevier, St. Louis: pp
–517.
Denny HR, Butterworth SJ (2000) The hip. In: A Guide to Canine and
Feline Orthopedic Surgery. 4th ed Blackwell, Oxford: pp 455–491.
Dueland RT, Dogan S, Vanderby R (1997) Biomechanical comparison
of standard excisional hip arthroplasty and modified deep gluteal
muscle transfer excisional arthroplasty. Vet Comp Orthop Traumatol
: 95–100.
Duff R, Campbell JR (1977) Long term results of excision arthroplasty
of the canine hip. Vet Rec 101: 181–184.
Duff R, Campbell JR (1978) Radiographic appearance and clinical progress
after excision arthroplasty of the canine hip. J Small Anim
Pract 19: 439-449.
Dycus DL, Levine D, Ratsch BE, Marcellin-Little DJ (2017) Physical
rehabilitation for the management of canine hip dysplasia: 2021
update. Vet Clin North Am Small Anim Pract 52(3): 719–747.
Engstig M, Vesterinen S, Morelius M, Junnila J, Hyytiäinen HK (2022)
Effect of Femoral Head and Neck Osteotomy on Canines’ Functional
Pelvic Position and Locomotion. Animals12: 1631.
Eyarefe OD, Oyetayo NS (2016) Prevalence and pattern of small animal
orthopaedic conditions at the Veterinary Teaching Hospital,
University of Ibadan. Sokoto J Vet Sci14(2): 8-15.
Fattahian H, Mohyeddin H, Hoseinzadeh A, Akbarein H, Moridpour
R (2012) Excision arthroplasty of the hip joint in dogs: The role
of age, weight, degenerative joint disease on the outcome. Kafkas
Univ Vet Fak Derg 18: 431–436.
Fitzpatrick N, Pratola L, Yeadon R, Nikolaou C, Hamilton M, Farelli
M (2012) Total hip replacement after failed femoral head and neck
excision in two dogs and two cats. Vet Surg 41(1): 136-142.
Gendreau C, Cawley AJ (1977) Excision of the femoral head and neck:
the long-term results of 35 operations. J Am Anim Hosp Assoc
: 605-608.
Girdlestone GR (1928) Arthrodesis and other operations for tuberculosis
of the hip. In: Milford HW (ed) The Robert Jones Birthday Volume.
Oxford University Press, London: pp 347–374.
Girdlestone GR (1943) Acute pyogenic arthritis of the hip: An operation
giving free access and effective drainage. Lancet 241: 419–421.
Grisneaux E, Pibarot P, Dupuis J, Blais D (1999) Comparison of ketoprofen
and carprofen administered prior to orthopedic surgery
for control of postoperative pain in dogs. J Am Vet Med Assoc
(8): 1105–1110.
Grisneaux E, Dupuis J, Bonneau NH, Charette B, Blais D (2003) Effects
of postoperative administration of ketoprofen or carprofen on shortand
long- term results of femoral head and neck excision in dogs.
J Am Vet Med Assoc 223(7): 1006-1012. https://doi.org/ 10.2460/
javma.2003.223.1006
Harasen G (2004) The femoral head and neck ostectomy. Can Vet J
: 163-164.
Harper TAM (2017) Femoral head and neck excision. Vet Clin Small
Anim 47: 885–897.
Hofmeyr CFB (1966) Excision arthroplasty for canine hip lesions. Mod
Vet Pract 47: 56-58.
Krystalli A, Sideri A, Kazakos MG, Anatolitou A, Prassinos NN (2023)
Contribution to the study of perioperative factors affecting the restoration
of dog’s mobility after femoral head and neck excision.
A clinical study in 30 dogs. Animals 13(14): 2295. https://doi.
org/10.3390/ani13142295.
Lee R, Fry PD (1969) Some observations on the occurrence of Legg-
Calvé- Perthes’ disease (Coxaplana) in the dog, and an evaluation
of excision arthroplasty as a method of treatment. J Small Anim
Pract 10: 309-317.
Lewis DD (1992) Femoral head and neck excision and the controversy
concerning adjunctive soft tissue interposition. Compend Contin
Educ Pract Vet 14: 1463–1470.
Lippincott CL (1981) Improvement of excision arthroplasty of the canine
femoral head and neck utilizing a biceps femoris muscle sling. J
Am Anim Hosp Assoc 17: 668-672.
Lippincott CL (1984) Excision arthroplasty of the femoral head and
neck utilizing a biceps femoris muscle sling. Part two: The caudal
pass. J Am Anim Hosp Assoc 20: 377-384.
Lippincott CL (1987) A summary of 300 surgical cases performed over
an 8-year period: excision arthroplasty of the femoral head and
neck with a caudal pass of the biceps femoris muscle sling. Vet
Surg 16(1): 96.
Liska WD, Doyle ND, Schwartz Z (2010) Successful revision of a
femoral head ostectomy (complicated by postoperative sciatic
neurapraxia) to a total hip replacement in a cat. Vet Comp Orthop
Traumatol 23(2): 119-123.
Manley PA (1993) The hip joint. In: Slatter D (ed) Textbook of Small
Animal Surgery. 2nd ed, WB Saunders, Philadelphia: pp 1798–1799.
Ober C, Pestean C, Bel L, Taulescu M, Milgram J, Todor A, Ungur R,
Lesu M, Oana L (2018) Use of clinical and computed tomography
findings to assess long‑term unsatisfactory outcome after femoral
head and neck ostectomy in four large breed dogs. Acta Vet Scand
: 28. https://doi.org/10.1186/s13028-018- 0382-8
O’Donnell MD, Warnock JJ, Bobe G, Scholz RP, Wiest JE, Nemanic
S (2015) Use of computed tomography to compare two femoral
head and neck excision ostectomy techniques as performed by two
novice veterinarians. Vet Comp Orthop Traumatol 28(05): 295–300.
Off W, Matis U (2010) Excision arthroplasty of the hip joint in dogs
and cats. Clinical, radiographic, and gait analysis findings from the
Department of Surgery, Veterinary Faculty of the Ludwig-Maximilians-
University of Munich, Germany. Vet Comp Orthop Traumatol
(5): 297–305.
Olmstead ML (1995) The canine cemented modular total hip prosthesis.
J Am Anim Hosp Assoc 31(2): 109–124. https://doi.
org/10.5326/15473317-31-2-109
Penwick RC (1992) The variables that influence the success of femoral
head and neck excision in dogs. Vet Med 4: 325–333.
Peycke LE (2011) Femoral Head & Neck Ostectomy. Procedures Pro-
Orthopedics Peer Reviewed 55-59.
Piek CJ, Hazewinkel HA, Wolvekamp WT, Nap RC, Mey BP (1996)
Long-term follow-up of avascular necrosis of the femoral head in
the dog. J Small Anim Pract 37(1): 12–18.
Piermattei DL, Flo GL, DeCamp CE (2006) The hip joint. In: Handbook
of Small Animal Orthopaedics and Fracture Repair. 4th ed, Elsevier,
St. Louis: pp 461–511.
Prostredny JM (2014) Excision arthroplasty of the femoral head and
neck. In: Bojrab MJ (ed) Current techniques in small animal surgery.
th ed, Teton NewMedia, Jackson: pp 1048-1052.
Rawson EA, Aronsohn MG, Burk RL (2005) Simultaneous bilateral
femoral head and neck ostectomy for the treatment of canine hip
dysplasia. J Am Anim Hosp Assoc 41(3): 166–70.
Roush JK (2012) Surgical therapy of canine hip dysplasia. In: Tobias
KM, Johnston SA (eds) Veterinary surgery small animal. Elsevier
Saunders, St Louis (MO): pp 849–864.
Schrader SC (1996) Clinical experience with excisional arthroplasty of
the hip (abstract). Proc Amer Coll Vet Surg Annu Meet 40.
Schulz KS, Dejardin LM (2003) Surgical treatment of canine hip dysplasia.
In: Slatter D (ed) Textbook of Small Animal Surgery. 3rd
ed, Elsevier Science, Philadelphia: pp 2029-2059
Stanton ME, Weigel JP, Henry RE (1988) Ischiatic nerve paralysis
associated with the biceps femoris muscle sling: case report and
anatomic study. J Am Anim Hosp Assoc 24(4):429-432.
